Quality in Endoscopy: ERCP, Munich 2011
ESGE guideline:
prophylaxis of post-ERCP-pancreatitis (PEP)
• The number of cannulation attempts should be minimized
• Number of injections and volume of contrast medium should be kept as low
as possible
• Endoscopic papillary ballon dilation: higher incidence of PEP than EST
• Prophylactic pancreatic stent placement (short, 5fr) in high-risk patients
Dumonceau Endoscopy 2010
,
Freeman NEJM 1996, Williams Endoscopy 2007, Masci
Endoscopy 2003, Baron AJG 2004, Weinberg Cochrane
database Syst Rev 2006, Andriulli Digestion 2007, Singh
GIE 2004